Blanding Dental Associates P.a.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

BLANDING DENTAL ASSOCIATES P.A.

Practice address

767 Blanding Blvd Ste 108
Orange Park, FL 32065-5788

Phone

(904) 272-6244

NPI assigned

Aug 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Chamberlain, DMD

Title

President

Phone

(596) 447-8838

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Alfred Cioffi, DMD

  • Oral Medicine Dentistry
  • Orange Park, FL
  • NPI 1326229329

  Multi-Specialty

  NPD (past)
• Scott Poortinga, DDS

  • General Practice Dentistry
  • Orange Park, FL
  • NPI 1225764202
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1013562941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 BLANDING BLVD STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655788",
            "telephone_number": "904-272-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 BLANDING BLVD STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655788",
            "telephone_number": "904-272-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANDING DENTAL ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "596-447-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BJ'S Wholesale Club Inc.
• Theodore Louis Bjornson
• Katherine L Black, LCSW
• James Eldridge Blaine III
• Kristin Jean Blair, BSN, RN
• Natalie Blanton, PT
• Kelly A Blasser, PT
• Marc Hepner Blasser, M.D.
• Tracey Amanda Bleau, PA-C
• Nevaeh Blessinger

• All providers in Orange Park, FL
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.